California State Board of Optometry
Licensing details for: 43519
Name: HO, STACIE THUYPHUONG
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
10752 Chapman Ave
GARDEN GROVE CA 92840-3211
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5895 Primary Status: Current
Address :
2655 EL CAMINO REAL
TUSTIN CA 92680
ORANGE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: HO, STACIE THUYPHUONG
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9139 Primary Status: Current
Address :
10752 Chapman Ave
GARDEN GROVE CA 92840-3211



